Refine Your Search
Displaying results 1 - 15 of 381
Supervisor Coding Compliance
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for providing supervision of the auditing and validation of medical record coding functions and monitors accuracies of coding processes, coordinates and directs daily activities responsible for accurate, compliant and timely coding and work queue review resulting in appropriate and accurate submission. Oversees the team responsibl...
Workforce Management Specialist - Commission Research & Resolution
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for ensuring accurate and timely work performed in the Commission Research & Resolution department, with management and employees; prepare and analyze reports, assist with projects and initiatives. JOB REQUIREMENTS: *2 years reporting experience including developing reports and analyzin...
Sr Communications Consultant
HCSC - Chicago, IL
Sr Communications Consultant Chicago, IL BASIC FUNCTION: This position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with clients and management at all levels of the corporations; drafts, edits and supervises the production of communications (print, web, etc.) to be distri...
Senior Financial Analyst
HCSC - Chicago, IL
Job Responsibilities: * Analyze and research trends to determine applicable intervention activities. * Gather and analyze key divisional and portfolio performance metrics and communicate these metrics from detail to summary level. Make presentations to all levels of management within the organization. * Identify risks/issues and assist in making recommendations on pro...
Reporting Analyst (Pharmacy Government Programs)
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for designing, developing, and implementing timely and accurate data/reports using mainframe/PC systems to support the department or division and perform additional program activities. JOB REQUIREMENTS: *Bachelor Degree OR 4 years business reporting experience. *3 years utilizing data...
Principal Technology Architect
HCSC - Richardson, TX
Job Purpose: This position is responsible for translating the business partner's processes and requirements into specific systems, applications, integrations, and/or data designs for very large complex IT solutions; driving decisions, even when requirements are ambiguous. Identifies solution options with associated risks and issues, costs vs benefits, and ...
IT/IS GRC Specialist - Audit and Assessment
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
Pharmacy Operations Representative
HCSC - Albuquerque, NM
**POSITION IS LOCATED IN THE ALBUQUERQUE HQ OFFICE (WITH W-F-H POSSIBILITIES, AT MANAGER'S DISCRETION)** Must be a Licensed/Certified Pharmacy Technician. BASIC FUNCTION: This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. W...
Holistic Health Coordinator - Chicago, IL
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and...
Financial BI Technical Analyst
HCSC - Chicago, IL
Job Purpose: This position is responsible for assisting in the design and implementation of financial and management reporting and analytics portfolio(s) used to drive strategic and operational decision making. This position is also responsible for report rationalization ensuring metrics are consistently defined, calculated, and accessed, and for identifying opportunities for e...
Financial Systems Support Specialist II
HCSC - Chicago, IL
Job Purpose: Responsible for providing functional support of Oracle Cloud financial applications and serve as the primary liaison between business and technical teams. Required Job Qualifications: * Bachelors degree in Finance, Accounting, Business, or other related field from an accredited college/university (or 4 years related experience in lieu of degre...
Customer Advocate II - Customer Service
HCSC - Morgan Park, IL
BASIC FUNCTION: This position is responsible for researching and responding to telephone and written inquiries in a prompt, accurate and objective manner. JOB REQUIREMENTS: *High School Diploma or GED. *1 year customer service experience in a health care or health insurance environment. *Experience evaluating customer situations, making decisions, and respond...
Customer Advocate I
HCSC - Marion, IL
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled time on the phone according to business ne...
Customer Advocate I
HCSC - Marion, IL
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled time on the phone according to business need. ...
Advanced Contract Specialist
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for developing master document and/or account-specific financial agreements, including phases of research drafting, coordination of internal approvals, filing of language with the local Department of Insurance, programming and implementation; and providing consultative services to multiple corporate areas. ...
